If you are like the founders of the Dermatology Nurses' Association, you had little or no formal education in dermatology before starting work in the discipline. In fact, the Dermatology Nurses' Association was a direct result of the desire by the founders and the women and men that followed to provide quality care by sharing knowledge and expertise. This column will be a way to discuss the regulatory and ethical issues that we all face in a healthcare world increasingly challenged by new technology and time pressure.